Organization · Type 2 NPI
Lakeside Medical, PLLC
Family Nurse Practitioner · Dandridge, TN
NPI number
1962802009
Active
Practice location
127 W Meeting St
Dandridge, TN 37725-4747
Fax (865) 397-6681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 16734 (TN) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
About NPI 1962802009
Lakeside Medical, PLLC's National Provider Identifier is 1962802009, issued on Aug 26, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dandridge, TN. The record was last updated on Aug 24, 2022.